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2001-058 TOWN OF QUEENSBURY Fog742 Bay Road Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010058 Date Issued: Tuesday, May 01, 2001 This is to certify that work requested to be done as shown by Permit Number P20010058 has been completed. Tax Map Number: 523400-137-000-0002-009-102-0000 Location: EAGAN Rd Owner: ROSEMARY THREW Applicant: ROSEMARY M THREW This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached (-3j W , Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010058 Application Number: A20010058 Tax Map No: 523400-137-000-0002-009-102-0000 Permission is hereby granted to: ROSEMARY M THREW For property located at: EAGAN Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: ROSEMARY THREW Single Family Dwelling 80,000.00 46 EAGAN Rd Garage-2 Cars Attached QUEENSBURY,NY 12804 Total Value 80,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency CLUTE ENTERPRISES,INC. COMMONWEALTH ELECTRICAL Ac 13 DAWN ROAD OUEENSBURY,NEW YORK Plans &Specifications BP 2001-058 Single Family Dwelling with 2 car attached garage as per plot plan and specifications; Address: 54 Eagan Road New Tax Id No. 309.17-1-5 $178.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,February 20,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To n o ueen ury, Tue da ,February 20,2001 SIGNED BY for the Town of Queensbury. Director of Building Cod Enforcement Application for Permit-Septic Disposal System Town ofQueensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use I Location of installation: Gad c.r .a,r_,, . k- O�✓``/ File Permit No. rAbAb . tJ Tax Map No. `ill / / 99 . ki 0 • • Fee aid Owner's Name: r-e-A.o..) FEB.... Address: TOWN OF OUEENSBURY BUILDING LDING ND CODE 2. INSTALLER'S NAME : C PHONE NO. "7ot `7` .1`7 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present x 110gal/bdrm = IS?�o Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Too_ raphv SoiLN_a ure Ground Water Bedrock or Impervio s Material —Domestic-Water Supply at what depth at what depth niunici�i Rolling oam feet feet well Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. _ Septic Tank: 1t Qi gallon (min. size 1,000 gal) Tile Field: each trench SC) ft. Total System Length: POn fl. Seepage Pit(s): number of size of each: fl. by ft. Size of Stone to be used: II / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6, HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read) regulations with respect to this application and agree to abide by these and all require,P dfits of the To of Qtye sbury Sa is Sewage Disposal Ordinance. re.'" ,f . 1LS VC) Signature of rp'onsible person Date Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-8256/ -O • BUILDING & CODE ENFORCEMENT • NOTICE Requirements prior to issuance r 1 of this permit: PERMIT FILE NO. 01-6 S- A permit must be obtained before beginning construction. No inspections PERM/T FEE PAID$ / 7t ° will be made until applicant has received n Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREATION FEE P D$ applicants' elxwes on this application Pe MUST be completed and.the signature E] Planning Board Action REVIEWED BY: of the applicant must appear on the SPR / Subdivision /Other llulldlnx Inspector eplieation form. n..i,sw J Recreation Fee Payment Applicant: L- Lc-� �G U-. Owner: -m`��`,_-1 Address: VS -z-L✓•._ 1 Address: Phone # ( rft 3 _ I-�7 7 Phone # ( ) - Property Location: • 5'/ -cjc.,,,. .c Tax Ma p�Number ` � / a / 9. lug Subdivision Name: ...•- Section Block ILA NA;TE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ ,0 fL;`-oJ residence / commercial . Addition to Building: residence . / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial . � Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size . . Family Dwelling Office Other Work (describe below) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTU 1p —g • • 1 If ADD ON, w will use let Floor (oa`/' sq. ft . / of new add ' n be? : 2nd •Floor. . ., (v -`-/ sq. f, .03 Other Flouts sq. £t. (not unfinished cellar or basement) ACCESSORY BUILDINGS: (35 • Detached Garag 1, 2 TOTAL FLOOR AREA: tp c{ E SQ. FT. Attached Garage 1, car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building 2>- C'(t FEET X : FEET Other cC Foundation Type: (t7O� - Will any second-hand or ungraded ' Number of Stories : . D • lumber be use ,? If so, for what? (habitable space only) .l Height (grade to ridge) : S feet TYPE OF HEATING SYSTEM.: • Number of fireplaCep and/or woodstove ( circle all which a lies) to be installed:, .Z Eleie / 1 Ga Wood • -- orced Hot A t3asebboard / Other Person responsible for supervision of work as regards to building codes is : LCZ_4 C_._C,A -75"5 ? 77 Name Aldresss Phone Builder: Plumber: Ci �� Mason: VZ�.� j C�fn� _a Electrician: DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, arc a true and complete statement of all proposed work to be done on the described premises and_parlill iI o\fsions of the Building axle, the Zoning Ordinance and all other laws pertaining to is proposed work shall be compli ith, whether specified or noted, and that such work is ayd'orized by the owner. Further, i ' un erstood that I/we shall submit prior to a Certificate of cliipancy'or Cer . Ica e of Compli ce bcin, issued, an AS BUILT PLOT PLAN by a licensed s eyor; drawn to scAlio ski ing tual locati n of project on premises. Signatur : j(owne , miner's agenj, architect,'contractor) ENERGY CODE APPLICATIONS .�. _ old 5 / ;D/��zT ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY '` . ,,, , --;, y;� 9000 HEATING DEGREE DAYS FFe Z 3 zoo/ Compliance .Methods : PART 5 - Acceptable Practice MethojrciliP Quit, " °.'=F-`s' 1&2 Family Dwellings (onl4 ;1 `'Ns8Uiriv„ PART 6* - Thermal Rating - Component Trade eoe 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT` S NAME : PROPERTY LOCATION: !- r €, C__Lire__ 'S`4 +m`xram,, c , . 6 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 1 .- square feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 3o b. Exterior walls R tel c . Glazed areas R 4, 5 d. Exterior doors R Z) e . Floors over unheated spaces R to! f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R -- h. Basement/cellar walls (below grade) R ®. i . Heating/cooling-ducts-piping in unheated space R .i,'S 6 . Service (domestic) hot water heating device I C - orms�to minimum efficiency per code ?C Yes No TEMPERA- URE CON ROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED l:App ant ', a""` e— re' Da e Phone Number INSPECTOR --R$, EMARKS : Inspector's No. Date 19 COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC. (Consulting and Fire Inspection Services) (Incorporated in the states of Maryland,New York,Pennsylvania,Delaware and West Virginia) Desiring Certification of Approval, application is made for inspection of electrical installation in the premises described below.On demand,applicant agrees to pay for inspection service in accord with schedule of charges. PLEASE PRINT Owner I, , ._ Type Bldg, ,[ DWG LI Other .. Occupant Building Permit No .. Job Location ....City::..::. ::.•...,,.: State h, County '\,..1;... ' t Twp- M/C# Swimming Pool—New❑ Old C7 Directions to Job Site ....... .l......, Application For Rough Wiring El Fixtures El Service❑ or Work—New ; , Additional LI Bldg:—New L Old❑ Ready for Inspection APPLICANT'S _ LICENSE# PERMIT# SIGNATURE PLEASE PRINT NAME PHONE# APPLICANT'S' - NAME OF ADDRESS UTILITY - { STATEEP IOTIF O CITY ZIP CODE,' ,C OF NOTIFIED ROUGH WIRING SPACE BELOW FOR USE OF INSPECTORS ONLY OUTLETS AMP SERVICE PUMP EQUIPMENT SWITCHES HEAT OVEN PUMP RECEPTACLES SURFACE GARBAGE UNIT DISPOSAL UNIT MEDIUM BASE RANGE FIXTURES MOGUL BASE WATER DRYER FIXTURES HEATER FLUORESCENT AIR AMP. RECEPTACLES FIXTURES CONDITIONER MERCURY VAPOR OR FRAC.H.P. QUARTZ FIXTURES WIRING&CONTROLS FOR BURNER _ VENT FANS MOTORS H P 1/20 1112 1110 1/8 116 1/4 1/3 1/2 3/4 1 1-1/2 2 3 5 7-1/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE Inspector's Comments: l e: i C ;:7,`.-AND E?:sctricaa.l Inspector P.O.'0X 706 NA ta, NY 12836 (518)543-6724 1-CC0-5S2.9934 OFFICE USE ONLY WORK INSPECTED REPOR- o NOTIFIED TED a O FEE PAID U SERVICE DATE CON- TOTAL Date Received: TRACTOR . R.W.DATE OWNER CHECK NO. FINAL DATE OCCUPANT CHARGE Certificate No.: CERTIFICATE NEEDED AGENT CASH Date Sent: ❑ YES ❑DUP ELEC, LT CO. INSPECTOR Progress ❑ THIS APPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S.INC. WHITE/OFFICE PINK/INSPECTOR CANERY/OFFICER GOLD/CUSTOMER RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement 7, Dept.of Community Development Arrive am/pm Depart • m Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME �{C��+ PERMIT# (-6 5-8 LOCATION DATE aQ TYPE OF STRUCTURE N/A YES NO COMMENTS • Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or ore Interior Handrails stairs both sides 3 or more ris rs Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above ade Gas Furnace shut-off within 30 feet or within line site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" J`� !' l Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan 14/ As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) S6'/I) Okay to issue temp.C/O(Certif.of Occupancy)_ � � Z0vS Okay to issue permanent C/O(Certif.of Occupancy) I i : 30 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depam/pp Town of Queensbury Inspector's Initials vw((J,� 742 Bay Road Queensbury,New York 12804 ...-16 NAME \1(`\Y �2) PERMIT# LOCATION j (nc-_.C� DATE S— f-0 C>b, TYPE OF STRUCTURE N/A YES/ NO COMMENTS • Chimney HeightP'B"V n ID•. • t Vent Location ✓//� Fresh Air Intake V Plumb Vent through r .f Roof Complete / Exterior Finish Comple • Interior/Exterior Railings 0"to 36" f Exterior Handrails,balcomy s,landing 18 in. .r more Interior Handrails stairs both *des 3 or more .sers Grade 2%away from foundati .i `/ 8"clearance to sill plate ✓ Gas Valve shut-off exposed/regul. or 18"above , ade / Gas Furnace shut-off within 30 feet.. within line i f site / 1/ Oil Furnace shut-off at entrance to u ice area ✓ Y Furnace/Hot Water Heater operating Relief Valve(s)installed ✓Headroom,6 ft.6 in.on stairs O Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 .ers Interior privacy/trim/doors/main entrance 36" / Floor Finish t/,( Bathroom/Kitchen watertight 1// Interior Handrails Balconies/Landing 18 in.or more / N./Railing across window in stairwells �/ Smoke Detectors: ,/,,,,-- every level every bedroom ,1 outside every bedroom ✓,� inter connected ✓/ Bathroom fans ✓! Plumbing fixtures / Foundation insulation ✓7 3/4 hour fire door/door closer Li) Garage fireproofing V �Q�� ,s Garage penetrations sealed ✓ BKA- — '/f,,,_ &A)0 5 Furnace in separate room protected(in garage) Light ventilation per r om . Safety glazing 18" Jess o floor Final Electrical 331) 0/ / • Site Plan/Varianc requir / Final Survey Plot Plan \/ As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ 7 Okay to issue permanent C/O(Certif.of Occupancy) \ oY d 36)''- 1()(7) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depa Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 • NAME \ PERMIT A)[ g✓�J LOCATION L( C,t-C,rh k�) DATE r[ ()-^ TYPE OF STR� Ch N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"t9136" Exterior Handrails,balconies,sanding 181n.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate I I Gas Valve shut-off exposed/fegulator ly above grade Gas Furnace shut-off within p0 feet/within line of site Oil Furnace shut-off at entrance-furnace area Furnace/Hot Water-Heaterdperating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 i . Handrail exterior stairs b th sides more than 3 risers • Interior privacy/trun/doo s/main entrance 36" Floor Finish Bathroom/Kitchen wate .ght Interior Handrails Balco 'es/Landing 18 in.or more Railing across window.- stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) ,,I Okay to issue temp.C/O(Certif.of Occupancy)_ 1 �.,jc Okay to issue permanent C/O(Certif.of Occupancy) �C 'J ,` 0 t 3 6 s piv--) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road r^ a Queensbury,NY 12804 Arrive am/pm Depar(` ! a mt Inspector's Initials (/ NAME: fl ex. ` PERMIT (, Di_ :0 -C� , LOCATION: �; /��; �� •DATE: _ (y ' TYPE OF STRUCTURE: _, RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re ••nsible f• providing protectio from freezi g for 48 hours folio ng the plat ent of the concrete. Materials for this pu ••se on si Foundation/Wallpou, , Reinforcement in Pl. - Foundation/Damppr•o Backfill Approval Plumbing Hid-r Sla•. Plumbing Vent/Vent,,in Place Rou h Plumbing H ' g Rough-In sulation Foundation Walls Ii tenor R- Foundation Walls E.tenor R- Floors / R- ,// Walls R- Ceiling Ceiling R- �/ Duct work or pipin in unheated spaces R /V-- - Proper Vent,Attic Ven Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping .1a t-J GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road C J�} Queensbury,NY 12804 Arrive am/pm Depart Inspector's Initia s NAME: PERMIT# `— 0 5 g LOCATION: (k7 l \R-<3 . DATE : �� j Z`( \a TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo .ible fo providing protection fr.0 freez ng for 48 hours following d e plac-ment of the concrete. Materials for this purpose on site! Foundation/Wallpour Reinforcement in Place I Foundation/Dampproofin�. / Backfill Approval Plumbing Under Slab Plumbing Ventt/Ven Pl.ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio* R- Foundation Walls Exterio R- Floors R Walls R Ceiling R Duct work or piping in unheated spaces R- o Vent Atgtic Vent ' ':'V'_Tanling E Jack Studs/Headers racing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire a 3.,y4;hour Fire_Upping ` GENERAL INSPECTION REPORT iivrird,> ( 518 ) 761-8256 . Town of Queensbury Dept.of Community Development Date inspection request received: 7/2;; 0 Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart 1 4j� am/pm Inspector's Initials OIc' NAME: Unj I ( `l T PERMIT# 2-CD I 0S Cr LOCATION: 5'11 EA)`. , -C �J 1 DATE : /°21�G7 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS • Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fr eezing for 48 hours following he placement of the concrete. Materials for this purpose on site Foundation/Wallpour \ 1 Reinforcement in Place i Foundation/Dampproofing 1 Backfill Approval I *Plumbing Under Slab71 , I 1 P tunbing Vent/Vents in Place\ f . Rau!, ',hi Jibing./ 1 ✓ " , Heating RouglizIn_ _---"" Insulation Foundation Walls Interior R Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent Qic� ° raning jiff i' FL'Z 4j7/ Jack tuds/Her Bracing/Bridging 7 C.1n. K_—`R— .&S i21 t) l rJ C Joist Hangers Jac Posts/Main Beam 'V". Infiltration Barrier V A Fire Separation 1,'2 dour Penetration Sealed Fire Wall 2 3 4 hour _ F4restopping.:' - .r/�r/��. Fk I3 '/. C l`�G rS c;ini GENERAL INSPECTION REPORT ( 518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement , 742 Bay Iload / Queensbury,NY 12804 Arrive am/pm Depart' D . m Inspector's Initials NAME: e-- k LL , 11 r 7 PERMIT# �CU/—OS 2 LOCATION: �r„s- ,gym.. 1C DATE : 3—•? —(9— ) TYPE OF STRUCTURE: ,.. ,'C) .6 t RECHECK N/A YES COMMENTS k ootings/Piers �: Monolithic Pour Form Reinforcement in Plac r'l The contractor is res nsible or providing protection om fre-zing for 48 hours following the p1.cement of the concrete. 11 Materials for this purpose o' site Foundation/WaHpou / �/�,,�1� �� Reinforcement in Place / J��I 1> Foundation/Dampproofin, 1 Backfill Approval I C� Plumbing Under Slab Plumbing VenUVents in Pl:ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls Exterio R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R • - Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping ,____,,.. 1 r-4, TOWN OFQUEENSBURY BUILDING b_CODE ENFORCEMENT 742 Bay Road 'Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name \l"-`` 11 t E > %�. Location /' C CAGUn (0 ,._) U Date �, `� J�, 14;1;)Permit # r'1 -aSc SOIL TYs . San. oam-Clay- Results of Percolation Test- (if applicable) Rate- nite/Inch TYPE OF SYSTEM: ABSORPTION FIELD: T. al L 4g tlh 0--- Length of each tre h t 3 U Depth of trenches / Size of stone / SEEPAGE PITS: \Nu ber- Size - t ft. Stone size PIPING: Size Type Bldg. to Tank t1 -0# Tank to Dist. Box u n Dist. Box to Fi el .. P' .N. Openings Sealed? , Yes No Partial LOCATION/SEPARATIO • �- Foundation to Tank [J feet Foundation to Abso ption �� feet Separation of Pits _ feet Conforms as per PI t Plan 4 No LOCATION OF SYSTEM ON PROPER . (circle .,•,-. Front - "ear 0* Side - Right Side Middle Fron - '� idle Rear COMMENTS: > .e.--- /45 - 6 -el Le----( SYSTEM USE APPROVED: 111110 NO Arrived: Departed: ' ,c) el":'// Building Inspector , . ? 0 4 -Q A . . . ..- - . • . . . i . . . . . , . ! . , . . . . , . , . • . . , " . . ____ . . . __ __ . i 01 . . i . ! , , . . . .Y , , . . . , . , r_AI t 1 . : ...c. , -k 9( .r. P -f 1 I . • • • -v . . • . ; • • • / . ., , . . i• H ,..-- , •0 1.: i . : FJ • . i . ... . . . . . 1 -2) d-, , __/7/09 -9b/ • A • : , i 1 ! . . . . „ .... 1 , , wr--- : • ii h__ ! . I I, ._ . GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road i ' Queensbury,NY 12804 Arrive am/pm Depart 6 m Inspector's Initials NAME: 1\X , 1��0 \ PERMIT# C.4 _ O5 LOCATION: r r, a r'\ ( -d\r DATE: — C C TYPE OF STRUCTURE) ( \( \ RECHECK N/A YESO- COMMENTS Footings/Piers n I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemen of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place 4.7 Foi dation/Dampproofing ackfill Approval •lumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping CUtV11V1U1V W LI ALI11 LLLI,11c11.1k1.,'norj.I.a ivi1 al.a%♦a. ad,a,l.,.- Main Office 176 Doe Run Road-Manheim,PA 17545 %i y� MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL,.. ,, elk Panel Board No Cert. �p° 69456� Cut-in Card No. 1 I.\ Owner / ' Z/x/e 7 r Z) ar Location S 6'"r / 4 + t 1.,u'' 30 Installation Consisting of / Z ¢/��,P f rcz_ t `S-l Installed By i Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makin inspections at any time, and if its rules are violated,the Company shall have the right tq rr�voke rtific e. Date., ��6 INSPECTOR !,/�('�" Member N.F.P.A.,I.A E.I. t 0-0Q1 7 • _ _ D,.. Iii , , k 7., ____, , , I _ , ...._... _r_ ______.......,___ _ ., - w, 3c. - I _ c-ir, f >,,. .,_ e.r . . . _ r . r AT) I ih . 05r• F:B 32011 - 5 LR. " ,. __ t = c,.. ✓. BUIL IfV a �N . • _ "I have seen rn .bse ed, or uelio.re ; sa , ev Jenne of, e s such r es, t^s,!Ils, trees, fepce et;., — . shown or t'.; ant. I ai�o rc ore sent tha I h*ve _ person' y mea . ed Le distancEsAfforth n the diagram." SI t.NA- i1-' DATE LOT 1A �1an Dusan Sc Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 518) 792-•8474 New York JAc. No. 50135 LOT 1 B 34,031 sq. ft. Sp.89• LOT I 3Y.71.RECEIVED MAY 01 2001TOWN OF QUEENSSURY 100.00, N74.2 30.W BUILDING AND `ODE I M£REMY CERWY TMAT THIS MAP WAS PREPARED �. PROM AN ACTUAL MMD SURVEY. TFM5 CERTMATION SHALL RUN ONLY TO THE PERSONS GAN � FOR WFtOM Tw RVEY wA5 PREPARED.AND ON THEIR SURVEY BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDNG INSTITUTION LISTED HEREON. CERTMATION$ ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUMSEQUENT OWNERS. 0~ 1 CERTrFIED TO+ ICwneth Grey Reynolds, II Me Law Neck Trustao Bank Nationd ANW-Wtkn It's successors end/or assigns fteMty Netiond Title hwime Ccmp Of NOW York 1INUT14N3p IOM ALIMAYOR MOM It A RRWLY LMP BEMNO A LRENSED LAID SLRVEIQRS SM i A M ATON OF SEC" 7700, SW-DMSIOM 2. OF IRE NEW Yom STATE EOUCATOL LAW *ONLY 0&" MOM Tt ORR " Q T O ILRWT MAM CD MM AI OR Oft OF M LAND MIMYO #.AL SMALL BE COISo[IRm TO OE ARi VALD 7WM OOFIES.' 'ODRMHQATOMS PCICAIM HEREON DOWRY TEAT 1IS SWNLY MILS PNPARM IN ACCORDAMM WHIN M 00 MG WOE OF FRACnM PoM LAD >1BRYCYOR3 ADWM tY M HRW YM STAIE ASSOQAIMN W P*WESSONAL LAD SUYEYORS. BILD CER1*1CA7W$ BALL RUM ONLY TO THE POSOM FOR WHOM TIE ARMY R PF"AAM MD Of M BEHALF 70 I E TTLt 00WANY, 00MWIWAL AGOCY MO LDIONB PffM70N LARD HUIMN. AND TO M A%0M OF M LMM H6= MOL' CERTIFIED BYR.��. MATTMEW C. STEVES. LL5 NY$ 50135 r DATM Apr" 13. 2001 Map of a Survey made for Kenneth Gray Reynolds, III & Melony Liane Nark Town of Queensbury, Warren County, New York NO. TETE 110N NOON -no W-K1L 1J, e-UU1 1'=30' S@-1 SWEET 1 OF 1 RMOLDS C461 DWG. NO. 881g3-15